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Conceptualising public sector innovation: Introducing the lens of the epistemological, pragmatic and normative dimensions 概念化公共部门创新:引入认识论、实用主义和规范维度的镜头
Pub Date : 2021-12-08 DOI: 10.7577/njsr.3684
Luise Li Langergaard
Innovation is a relatively new concept in the public sector, and there is currently no broad agreement regarding how to understand and conceptualise it. This article assumes that a central role for research is to critically scrutinise and discuss what research does—or could do—when applying the concept of public sector innovation, especially because innovation has become a powerful organising metaphor for policy and practice. The article initiates a meta-conceptual inquiry and discussion of public sector innovation as a research concept, suggesting a method of conceptual clarification for future research by breaking the concept down into different dimensions. Methodologically, the article conducts a meta-conceptual analysis and inquiry into research positions and discussions in public sector innovation, thus reflecting the academic activity/enterprise of conceptualising. By discussing selected literature from the public sector innovation field, three conceptual dimensions emerge: epistemological, pragmatic and normative dimensions. These dimensions refer to questions about what kind of knowledge the concept of public sector innovation represents, what its pragmatic or practical implications are and which normative or value dimensions the concept implies. Finally, the concluding discussion highlights questions for research(ers) to address in future reflections on the conceptualisation of public sector innovation.
创新在公共部门是一个相对较新的概念,目前对于如何理解和概念化创新还没有广泛的共识。本文假设研究的核心作用是在应用公共部门创新的概念时,批判性地审查和讨论研究做了什么或可以做什么,特别是因为创新已经成为政策和实践的强大组织隐喻。本文对公共部门创新作为一个研究概念进行了元概念的探究和讨论,提出了一种将公共部门创新概念分解为不同维度的概念澄清方法。在方法上,本文对公共部门创新的研究现状和讨论进行了元概念分析和探究,从而反映了概念化的学术活动/企业。通过讨论公共部门创新领域选定的文献,出现了三个概念维度:认识论、实用主义和规范维度。这些维度涉及公共部门创新的概念代表了什么样的知识,它的实用或实际含义是什么,以及这个概念意味着哪些规范或价值维度。最后,结论性讨论强调了研究人员在未来对公共部门创新概念化的思考中需要解决的问题。
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引用次数: 0
“We don’t feel like we are part of the project” “我们不觉得自己是这个项目的一部分。”
Pub Date : 2021-10-10 DOI: 10.7577/njsr.4056
Hilde Švrljuga Sætre, M. Munkejord
Some of the extant literature on collaborative public sector innovation seems to assume that collaboration per se implies a positive outcome. Recent research, however, has demonstrated that innovation processes may take different shapes and trajectories depending on, for example, the collaborating actors’ diverging (or converging) perceptions of the given situation. In this article, we seek to contribute to understanding the nature of potential challenges in public sector innovation processes. We interviewed seven key actors involved in developing and implementing a new introduction programme for refugees in a municipality in Norway. The interviews explored how the innovation process evolved and how the different actors experienced their participation in the process. In this article, we use the classic four ‘moments of translation’ approach proposed by Callon (1986) to shed light on the main tensions that arose for the project team in the 18 months after the project was launched. These challenges related to why the innovation was realised, how such an innovation should be operationalised, for whom the innovation was targeted and whose innovation project the project was initially. In conclusion, we argue that to address the tensions that may arise in any collaborative project, innovation leaders must establish a ‘structure for collaboration’ that includes a space in which to acknowledge and potentially solve emerging challenges.
现存的一些关于公共部门协作创新的文献似乎假设协作本身就意味着积极的结果。然而,最近的研究表明,创新过程可能会采取不同的形式和轨迹,例如,取决于合作参与者对给定情况的分歧(或趋同)看法。在本文中,我们试图帮助理解公共部门创新过程中潜在挑战的性质。我们采访了参与在挪威一个城市制定和执行一项新的难民介绍方案的七个关键行动者。访谈探讨了创新过程是如何演变的,以及不同的参与者如何体验他们在这一过程中的参与。在本文中,我们使用Callon(1986)提出的经典的四个“翻译时刻”方法来阐明项目团队在项目启动后的18个月里出现的主要紧张局势。这些挑战涉及到为什么要实现创新,这种创新应该如何运作,创新的目标是谁,以及项目最初是谁的创新项目。总之,我们认为,为了解决任何合作项目中可能出现的紧张关系,创新领导者必须建立一个“合作结构”,其中包括一个承认并潜在地解决新出现的挑战的空间。
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引用次数: 0
Enhancing credibility: 提高信誉:
Pub Date : 2021-10-02 DOI: 10.7577/njsr.4051
Ulla Rantakeisu, L. Ede
In the Western world mental health problems are increasing and in Sweden these problems are the most common reason for sick leave. Diagnoses of adjustment disorders and reactions to severe stress are increasing the fastest out of all mental health problems. The aim of this study is to contribute new insights into employees’ experiences and management of being on sick leave with a stress-related psychiatric diagnosis. The empirical material consisted of individual interviews with 26 employees who were on sick leave from at least part-time employment because of a stress-related diagnosis. The grounded theory method was used to analyse the results. In the generated model, we propose that sick-listed employees engage in enhancing credibility in relation to themselves and others, here attempting to come across as credible and, thus, avoiding disbelief and the negative attributions of being on sick leave with a psychiatric diagnosis. The interviewees shared the general concern that being perceived as either healthier or sicker than the case may be, as well as greater sensitivity to what others might think, which was manifested as being on guard and controlling their behaviour and emotional display. To return to work, the sick-listed employees tended to re-evaluate their previous performance at work and saw the illness as self-inflicted and as the result of not having been capable of drawing the line between work and leisure.
在西方世界,心理健康问题正在增加,在瑞典,这些问题是请病假的最常见原因。在所有心理健康问题中,对适应障碍和对严重压力的反应的诊断增长最快。本研究的目的是为压力相关精神诊断的员工请病假的经验和管理提供新的见解。实证材料包括对26名因压力相关诊断而请病假的至少兼职员工的个人访谈。采用扎根理论方法对结果进行了分析。在生成的模型中,我们建议患病员工参与提高与自己和他人相关的可信度,在这里试图表现得可信,从而避免怀疑和因精神病诊断而请病假的负面归因。受访者普遍担心被认为比实际情况更健康或病情更严重,同时对他人的看法更加敏感,这表现为警惕和控制自己的行为和情绪表现。在重返工作岗位时,患病员工往往会重新评估自己之前的工作表现,认为疾病是自己造成的,是无法划清工作与休闲之间界限的结果。
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引用次数: 0
Does context matter? Voluntary work in long-term care 语境重要吗?长期护理方面的志愿工作
Pub Date : 2021-08-11 DOI: 10.7577/njsr.3698
Laila Tingvold, O. Førland
Introduction: Increased voluntary work in long-term care (LTC) is encouraged in white papers in Norway as well as in many other western states. This is due to the growth in the number of service recipients and a subsequent economic burden for the state. Voluntary work in nursing homes and home care services take place in different spatial contexts, but little attention has been paid to how the different contexts may potentially influence the possibilities for voluntary work. The aim of this study is to obtain new knowledge of the significance of context in recruitment of volunteers in LTC.Method: A cross-sectional study was conducted among leaders in nursing homes and home services in 50 municipalities across all regions of Norway. Descriptive analysis was used.Results: According to the leaders, home care services had less voluntary work than nursing homes. Respondents from home care scored “poor flow of information” and “low interest in the municipality” as major hinderances, more so than respondents from nursing homes did.Discussion: Nursing homes typically have many residents under one roof following a similar schedule. Thus, volunteer-run activities are held more easily at set times and incorporated into the daily life of the institutions. On the other hand, home dwellers in home care stay in a more individualised setting with more autonomy and can opt out of activities that nursing home residents would normally join. Skill acquisition, networking and socializing are common motivations for volunteering, and a nursing home setting may be an easier context to obtain this. The governmental endeavour for increased voluntary work in LTC can be seen as an effort to meet expected rises in public expenditure. However, the realism can be debated due to substantial challenges on the future potential of volunteerism in LTC, especially in the home care context.
简介:挪威和许多其他西方国家的白皮书都鼓励增加长期护理(LTC)的志愿工作。这是由于接受服务人数的增加以及随之而来的国家经济负担。养老院和家庭护理服务的志愿工作发生在不同的空间背景下,但很少注意到不同的背景如何可能影响志愿工作的可能性。本研究的目的是获得关于情境在LTC志愿者招募中的重要性的新知识。方法:在挪威所有地区的50个城市的养老院和家庭服务的领导者中进行了横断面研究。采用描述性分析。结果:根据领导的意见,家庭护理服务机构的志愿工作少于养老院。来自家庭护理的受访者认为“信息流动不畅”和“对市政当局的兴趣低”是主要障碍,比来自养老院的受访者更严重。讨论:疗养院通常有许多居民在一个屋檐下,遵循类似的时间表。因此,志愿者组织的活动更容易在固定的时间举行,并融入机构的日常生活。另一方面,居家护理院的居民生活在一个更个性化的环境中,拥有更多的自主权,可以选择不参加养老院居民通常会参加的活动。技能获取、网络和社交是志愿者的共同动机,而养老院的环境可能更容易获得这些。政府增加长期服务中心志愿工作的努力可被视为满足公共支出预期增长的努力。然而,由于LTC中志愿服务的未来潜力面临重大挑战,特别是在家庭护理背景下,现实主义可以辩论。
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引用次数: 3
Construction of ‘socially marginalised Greenlanders’ as a target group in Danish welfare policy and practice 丹麦福利政策与实践中“社会边缘格陵兰人”作为目标群体的建构
Pub Date : 2021-05-27 DOI: 10.7577/NJSR.3817
Maj Nygaard-Christensen, Bagga Bjerge
This paper examines the emergence of ‘socially marginalized Greenlanders’ as a distinct target category in Danish welfare policy and practice. It builds on analysis of policies targeting Greenlandic minorities in Denmark and interviews with welfare professionals in charge of implementing these. The paper shows how Greenlandic minorities are represented as characterized by markers of difference viewed to set them apart from other socially marginalized citizens. These relate to 1) structural differences that impact on the ability to receive and benefit from welfare services, 2) to the perceived cultural origins of the problems that socially marginalised Greenlanders face, and, finally, 3) to the excessive social problems associated in policies and by professionals with an upbringing in Greenland. The paper shows how policies and welfare professionals both reject and continuously resort to the notion of the target group as distinct from other socially marginalized citizens. In continuation of this, the analysis further shows how ambivalences and contradictions are not so much found between the levels of policy and practice, as other studies of policy implementation processes have demonstrated, as they are inherent within all policy and considerations about how to understand the target group they articulate.
本文考察了“社会边缘化格陵兰人”作为丹麦福利政策和实践中一个独特的目标类别的出现。它以对丹麦针对格陵兰少数民族的政策的分析和对负责执行这些政策的福利专业人员的采访为基础。该文件显示了格陵兰少数民族是如何被视为与其他社会边缘化公民区分开来的差异标志。这些问题涉及:1)影响领取福利服务能力和受益能力的结构性差异;2)被社会边缘化的格陵兰人所面临的问题的文化根源;最后,3)与政策和在格陵兰长大的专业人员有关的过多的社会问题。本文展示了政策和福利专业人员如何拒绝并不断诉诸于目标群体与其他社会边缘化公民不同的概念。在此基础上,分析进一步表明,政策和实践之间的矛盾和矛盾并不像其他关于政策执行过程的研究所表明的那样多,因为它们是所有政策和关于如何理解它们所阐述的目标群体的考虑所固有的。
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引用次数: 1
Exploring social innovation (SI) within the research contexts of higher education, healthcare, and welfare services – a scoping review 在高等教育、医疗保健和福利服务的研究背景下探索社会创新(SI)——范围审查
Pub Date : 2021-04-19 DOI: 10.7577/NJSR.3455
A. M. L. Husebø, Marianne Storm, Atle Ødegård, Charlotte Wegener, M. Aakjær, Anne Lyngby Pedersen, Maja Boelsmand Østergaard, E. Willumsen
Introduction: Nordic countries face societal challenges for which social innovation may represent solutions. The aim of this scoping review is to explore the concept of social innovation within the research contexts of higher education, ealthcare, and welfare services.Method: A scoping review methodology was used, including a literature search and the identification of eligible studies published between 2007 and 2019, in addition to data extraction and synthesis. Forty-three studies were included in this review.Results: Across the research contexts, social innovation is conceptualized as a set of novel, creative, human-centred, and value-driven processes aiming to bring about change. Qualitative research methods dominate social innovation research. In welfare services, social innovation concerns the relationship between policy and praxis, new forms of leadership and management, and the promotion of societal inclusion and cohesion. Social innovation in healthcare comprises the use of technology to digitalize service, enhance patients’ well-being, and improve service quality. In higher education, social innovation research focuses on educational reforms involving non-profit stakeholders.Discussion: Social innovation is a multifaceted concept related to change at the organizational or societal level, often with various stakeholders working together to create improvements. The lack of a common definition and framework of social innovation makes this concept difficult to measure or quantify, reflecting the dominance of qualitative research methods in the selected research contexts. Across these research contexts, social innovation can be defined and used for various research purposes, which are often political and value-based, with the latter connected to the common good and people’s well-being. Moreover, few social innovation studies have been performed in Nordic countries.
引言:北欧国家面临社会挑战,社会创新可能代表解决方案。本文的目的是在高等教育、医疗保健和福利服务的研究背景下探讨社会创新的概念。方法:采用范围审查方法,包括文献检索和确定2007年至2019年发表的符合条件的研究,以及数据提取和综合。本综述纳入了43项研究。结果:在整个研究背景下,社会创新被定义为一系列旨在带来变革的新颖、创造性、以人为本和价值驱动的过程。定性研究方法主导着社会创新研究。在福利服务方面,社会创新涉及政策与实践之间的关系,新形式的领导和管理,以及促进社会包容和凝聚力。医疗保健领域的社会创新包括利用技术实现服务数字化、增强患者福祉和提高服务质量。在高等教育领域,社会创新研究的重点是涉及非营利性利益相关者的教育改革。讨论:社会创新是一个多方面的概念,与组织或社会层面的变化有关,通常由不同的利益相关者共同努力创造改进。缺乏社会创新的共同定义和框架使得这一概念难以衡量或量化,反映了在选定的研究背景下定性研究方法的主导地位。在这些研究背景下,社会创新可以被定义并用于各种研究目的,这些研究目的通常是政治和基于价值的,后者与共同利益和人民福祉有关。此外,北欧国家很少进行社会创新研究。
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引用次数: 8
Making the best of it: Adolescents' perceptions of how their home and neighborhood spheres shape their lives 充分利用它:青少年对他们的家庭和社区如何影响他们生活的看法
Pub Date : 2021-04-19 DOI: 10.7577/NJSR.3918
V. Krane, Ellen Andvig
Adolescents’ homes are fundamental components of their living conditions and essential for their everyday life, health, well-being and development. Previous research has focused on how housing affects adolescents through investigating certain aspects of adolescent health and future outcomes. In this qualitative study, we explored lowincome family adolescents’ subjective experiences of their homes and in what ways their experiences of housing influenced their everyday lives. Seven participants aged between 12 and 20 years were recruited through a housing project. The participants were interviewed using individual in-depth interviews. The data were analysed using a thematic analysis and organised into four themes: 1) housing features affecting social life and privacy, 2) moving around, 3) the importance of neighbourhood and 4) worries and dreams. The findings show how the housing standards affected adolescents’ social life and privacy. House moves could provide new opportunities but also lead to a lack of continuity in relationships. The neighbourhood was highlighted as a public sphere, providing access to places and friends. Adolescents’ worries and dreams concerning housing conditions are also presented. The results show how housing is central in shaping adolescents’ social relationships, the importance of access to neighbourhood spheres and how adolescents adapt to their situation. The findings further reveal the important underlying processes to facilitate a greater understanding of the role of housing in low-income family adolescents’ lives.
青少年的家是他们生活条件的基本组成部分,对他们的日常生活、健康、福祉和发展至关重要。以前的研究通过调查青少年健康和未来结果的某些方面来关注住房如何影响青少年。在本质性研究中,我们探讨了低收入家庭青少年对家庭的主观体验,以及他们的住房体验如何影响他们的日常生活。7名年龄在12至20岁之间的参与者通过一个住房项目被招募。参与者接受了个人深度访谈。数据采用主题分析法进行分析,并分为四个主题:1)影响社会生活和隐私的住房特征;2)搬家;3)邻里关系的重要性;4)担忧和梦想。研究结果显示了住房标准如何影响青少年的社交生活和隐私。搬家可能会提供新的机会,但也会导致关系缺乏连续性。该社区被强调为一个公共领域,提供了进入场所和朋友的通道。青少年对住房条件的担忧和梦想。研究结果表明,住房在塑造青少年的社会关系中发挥着核心作用,进入邻里圈子的重要性,以及青少年如何适应自己的处境。研究结果进一步揭示了重要的潜在过程,有助于更好地理解住房在低收入家庭青少年生活中的作用。
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引用次数: 2
Circle of Security - Parenting: A Systematic review on Effectiveness of use of the parent training program within Multi-problem Families 安全圈-养育:多问题家庭中使用家长培训计划有效性的系统回顾
Pub Date : 2021-01-31 DOI: 10.7577/NJSR.3482
Tina Gerdts-Andresen
Introduction: Circle of Security-parenting (COS-p) is a simplified, relationship-based programme with the intention of developing parents’ observation and inferential skills related to understanding their child’s needs, increasing sensitivity to their child, aiding in emotional regulation, as well as decreasing any of their negative attributions to their child. COS-p is a widely used parenting programme that is gaining global popularity, as it is currently being delivered across several continents. Despite being one of the most frequently used interventions in Norwegian child protective services (CPS), no research has been conducted on this programme’s effectiveness when used in the CPS context. This study therefore aims to establish a systematic overview of the programme’s effectiveness for families within the CPS system, regarding both caregivers and benefits for the children.Method: The database searches were originally conducted in June 2018 and updated in April 2020, encompassing 13 international bibliographical databases. The search for grey literature was conducted, and the generated articles these were then manually searched. A non-statistical narrative approach was used to analyse the studies due to the heterogeneity of the outcome measures. Research studies on the effectiveness of COS-p intervention, where the participants reported a minimum of two specifically defined risk factors, were included for further analysis.Results: Seven studies met the inclusion criteria. The studies included in the review focus on a diversity of separate and isolated factors concerning caregivers but not the effect of the accumulation of risk factors and how this may or may not influence the potential effectiveness of COS-p. The findings’ strengths include some improvements in reducing parental stress, increasing self-efficacy and parenting skills, and promoting an understanding of child behaviour. There is no conclusive evidence that COS-p assists in increasing the security of the parent-child attachment relationship.Discussion: Given the limited number of studies, further research is needed to examine if COS-p improves child behaviour, if its effects can be sustained over time and if it is more effective for particular populations.
简介:安全育儿圈(COS-p)是一个简化的、基于关系的项目,旨在培养父母的观察和推理能力,以了解孩子的需求,增加对孩子的敏感性,帮助调节情绪,以及减少他们对孩子的任何负面归因。COS-p是一种广泛使用的育儿课程,在全球越来越受欢迎,目前正在几个大洲开展。尽管这是挪威儿童保护服务(CPS)中最常用的干预措施之一,但尚未对该方案在CPS背景下使用的有效性进行研究。因此,本研究旨在系统地概述方案在儿童保育系统内对家庭的有效性,包括儿童的照顾者和福利。方法:数据库检索最初于2018年6月进行,于2020年4月更新,包含13个国际书目数据库。对灰色文献进行搜索,然后对生成的文章进行手动搜索。由于结果测量的异质性,采用非统计叙述方法来分析研究。关于COS-p干预有效性的研究,参与者报告至少两个明确定义的危险因素,被纳入进一步分析。结果:7项研究符合纳入标准。本综述中纳入的研究侧重于与护理人员有关的各种单独和孤立的因素,而不是风险因素积累的影响,以及这可能或可能不影响COS-p的潜在有效性。研究结果的优势包括在减轻父母压力、提高自我效能和育儿技巧以及促进对孩子行为的理解方面取得了一些进展。没有确凿的证据表明COS-p有助于增加亲子依恋关系的安全性。讨论:鉴于研究数量有限,需要进一步的研究来检验COS-p是否能改善儿童行为,其效果是否能持续一段时间,以及它是否对特定人群更有效。
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引用次数: 3
Standardised functional assessment in long-term care for older people: perspective of Finnish care workers 老年人长期护理的标准化功能评估:芬兰护理工作者的视角
Pub Date : 2021-01-31 DOI: 10.7577/NJSR.3734
Vilhelmiina Lehto-Niskala, O. Jolanki, J. Valvanne, M. Jylhä
Objective measures and documentation are increasingly used in the care for older people to promote efficiency and productivity. A standardised assessment of functional capacity is one such measure. In this study, we examined the meanings given to standardised functional assessment by care workers who provide long-term care for older people. Gathered from eight Finnish long-term care facilities, the data consisted of one-on-one interviews with practical and registered nurses (n = 24). In the data analysis, we employed the discursive approach. We identified three discourses in the care workers’ talks that differed in the meaning given to standardised functional assessment in the process of care: part of the bureaucracy, a missed opportunity and a threat to person-centred care. Care workers described these assessments as constituting a routine part of their job but expressed uncertainty about their role and the practicalbenefits in actual care work. They even called into question these assessments’ relevance to quality care delivery. To be a meaningful part of care practice, it is essential that there be a shared understanding of the rationale behind functional assessments in the care organisation and that care workers themselves can see the outcomes of these assessments in their daily work.
在老年人护理中越来越多地使用客观措施和文件,以提高效率和生产力。功能能力的标准化评估就是这样一种措施。在本研究中,我们考察了为老年人提供长期护理的护理工作者给予标准化功能评估的意义。从8家芬兰长期护理机构收集数据,包括对实际护士和注册护士的一对一访谈(n = 24)。在数据分析中,我们采用了话语方法。我们在护理工作者的谈话中确定了三种话语,这些话语在护理过程中对标准化功能评估的含义有所不同:官僚主义的一部分,错失的机会和对以人为本的护理的威胁。护理人员将这些评估描述为他们工作的常规部分,但对他们在实际护理工作中的角色和实际收益表示不确定。他们甚至质疑这些评估与优质医疗服务的相关性。要成为护理实践中有意义的一部分,至关重要的是,在护理组织中对功能评估背后的基本原理有一个共同的理解,并且护理人员自己可以在日常工作中看到这些评估的结果。
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引用次数: 1
Understanding the relationship between subjective health complaints and satisfaction with life for people in prevocational training in Norway 了解挪威职业培训人员主观健康抱怨与生活满意度之间的关系
Pub Date : 2021-01-31 DOI: 10.7577/NJSR.3500
L. H. Ellingsen-Dalskau, B. Berget, G. Tellnes, C. Ihlebæk
Background and aim: In Norway, a large part of the population is dependent on disability benefits. The main reasons for this are related to long-term musculoskeletal pain and psychological complaints. Prevocational rehabilitation, aimed at increasing participation in working life, targets people in need of a sheltered vocational environment. This group has been found to report a very high level of health complaints. Therefore, a better understanding of the psychological mechanisms affecting satisfaction with life for people who experience subjective health complaints could be important for tailoring more optimal vocational rehabilitation initiatives for these individuals. This study aimed to investigate the possible mediator role of basic psychological need satisfaction, described in self-determination theory, in the relationship between subjective health complaints and satisfaction with life. Methods: A total of 201 adult participants attending prevocational training on care farms in Norway answered a questionnaire, including demographic questions and standardised instruments on subjective health complaints, basic psychological need satisfaction and satisfaction with life. Analyses were conducted using a structural equation model. Results: Most of the participants had been out of work for more than one year, had a high prevalence of subjective health complaints and a low level of satisfaction with life. The structural equation model showed that basic psychological need satisfaction mediated the negative association between psychological health complaints and satisfaction with life.Conclusion: The results indicate that even though health complaints remain, prevocational programs can counteract some of the negative associations between subjective health complaints and satisfaction with life by creating contexts that support basic psychological needs that are important for well-being and functioning. Providing clients with understanding, guidance, positive feedback, meaningful tasks and a close, supportive social community, has been found to facilitate satisfaction of basic psychological needs in prevocational training on care farms
背景和目的:在挪威,很大一部分人口依靠残疾津贴生活。其主要原因与长期的肌肉骨骼疼痛和心理不适有关。职业前康复旨在增加对工作生活的参与,其对象是需要庇护的职业环境的人。研究发现,这一群体对健康的抱怨程度非常高。因此,更好地了解影响主观健康抱怨人群生活满意度的心理机制,对于为这些个体量身定制更理想的职业康复计划可能是重要的。本研究旨在探讨自我决定理论中基本心理需求满足在主观健康抱怨与生活满意度关系中的可能中介作用。方法:对参加挪威护理农场职业前培训的201名成年参与者进行问卷调查,问卷内容包括人口统计问题和主观健康抱怨、基本心理需求满意度和生活满意度的标准化工具。采用结构方程模型进行分析。结果:大部分被调查者失业1年以上,主观健康抱怨率高,生活满意度低。结构方程模型表明,基本心理需求满意度在心理健康抱怨与生活满意度之间起负相关中介作用。结论:结果表明,即使健康抱怨仍然存在,职业预防计划可以通过创造支持基本心理需求的环境来抵消主观健康抱怨与生活满意度之间的一些负面关联,这些需求对健康和功能很重要。为客户提供理解、指导、积极反馈、有意义的任务和亲密、支持性的社会社区,有助于满足护理农场职业培训的基本心理需求
{"title":"Understanding the relationship between subjective health complaints and satisfaction with life for people in prevocational training in Norway","authors":"L. H. Ellingsen-Dalskau, B. Berget, G. Tellnes, C. Ihlebæk","doi":"10.7577/NJSR.3500","DOIUrl":"https://doi.org/10.7577/NJSR.3500","url":null,"abstract":"Background and aim: In Norway, a large part of the population is dependent on disability benefits. The main reasons for this are related to long-term musculoskeletal pain and psychological complaints. Prevocational rehabilitation, aimed at increasing participation in working life, targets people in need of a sheltered vocational environment. This group has been found to report a very high level of health complaints. Therefore, a better understanding of the psychological mechanisms affecting satisfaction with life for people who experience subjective health complaints could be important for tailoring more optimal vocational rehabilitation initiatives for these individuals. This study aimed to investigate the possible mediator role of basic psychological need satisfaction, described in self-determination theory, in the relationship between subjective health complaints and satisfaction with life.\u0000 \u0000Methods: A total of 201 adult participants attending prevocational training on care farms in Norway answered a questionnaire, including demographic questions and standardised instruments on subjective health complaints, basic psychological need satisfaction and satisfaction with life. Analyses were conducted using a structural equation model.\u0000 \u0000Results: Most of the participants had been out of work for more than one year, had a high prevalence of subjective health complaints and a low level of satisfaction with life. The structural equation model showed that basic psychological need satisfaction mediated the negative association between psychological health complaints and satisfaction with life.\u0000Conclusion: The results indicate that even though health complaints remain, prevocational programs can counteract some of the negative associations between subjective health complaints and satisfaction with life by creating contexts that support basic psychological needs that are important for well-being and functioning. Providing clients with understanding, guidance, positive feedback, meaningful tasks and a close, supportive social community, has been found to facilitate satisfaction of basic psychological needs in prevocational training on care farms","PeriodicalId":207067,"journal":{"name":"Nordic Journal of Social Research","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129610121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Nordic Journal of Social Research
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